Inā he makuahine hānau ʻoe, ua lohe paha ʻoe i ka moʻolelo o ke 'ʻeke wai e haki ana'. Ua ʻike paha ʻoe iā ia ma kahi kiʻiʻoniʻoni a i ʻole kahi pāʻani, kahi e puka koke mai ai ka wai he nui. He aha maoli kēia ʻeke wai? He aha ka palekana e hāʻawi ai no ka mea liʻiliʻi i loko o ka ʻōpū? He aha ke ʻano o kona haki ʻana? E kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi i kēia lā, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka ʻeke amniotic?
ʻO ka ʻeke amniotic kahi ʻeke pale e hoʻopuni ana i kāu pēpē i ka wā hāpai. Kapa pinepine mākou iā ia ʻo "ʻeke wai." He ʻeke lahilahi ia, akā ikaika loa, i hana ʻia me ʻelua mau membrane moakaka. I loko o kēia ʻeke, pale ʻia kāu pēpē e ka wai amniotic, ka placenta, a me ke kaula umbilical.
ʻO kāna hana nui ka pale ʻana i ka pēpē mai nā huakini a me nā mea hoʻonāukiuki o waho . I ka ulu ʻana o ka pēpē i loko o ka ʻōpū, ulu pū ka ʻeke amniotic. Ke haki ka ʻeke a kahe ka wai i loko, ua kapa ʻia ʻo "ka haki ʻana o ka wai." Hiki i kēia ke hele mai me ka pahū koke ʻana o ka wai, a i ʻole hiki ke kahe mālie i waho. Inā he kānalua kāu ua haki kou wai, he mea nui e hoʻomaopopo koke i kāu kauka . Hiki i kēia ke lilo i hōʻailona nui e hoʻomaka koke ana ka hānau ʻana.
Āhea e hoʻomaka ai kēia?
Hoʻomaka kēia ʻeke pale kupaianaha e hana ma kahi o 12 mau lā ma hope o ka hui ʻana o ka hua manu a me ka sperm (ʻo ia hoʻi, ka hapai ʻana).
He aha nā hana nui o ka ʻeke amniotic?
E noʻonoʻo ʻoe aia kāu pēpē i loko o kāna pehu pale liʻiliʻi ponoʻī. ʻO ka hana nui o kēia ʻeke amniotic ka pale ʻana i kāu pēpē. E nānā kākou i kekahi o nā mea e hana ʻia ana i loko:
- E like me ka uluna palekana: Mālama ka wai amniotic i loko o kēia ʻeke i ka pēpē mai nā haʻalulu a me nā haʻalulu o waho, e like me ka ʻeke ea i loko o ke kaʻa.
- Ka mana mahana: Mālama mau ʻia ka mahana kūpono e pono ai ka pēpē i loko o kēia ʻeke.
- Ke ʻae ʻana i ka neʻe ʻana: ʻAe kēia wai i ka pēpē e neʻe manuahi a hoʻoneʻe i ko lākou mau lālā. He mea nui loa kēia no ka ulu ʻana o nā ʻiʻo a me ka iwi o ka pēpē.
- Ka palekana mai nā germs: Ua like kēia ʻeke me kahi ʻeke i hoʻopaʻa ʻia, no laila pale ia i ka pēpē mai nā germs e hiki ke komo i loko o ka vagina.
- Loaʻa nā ʻōpū hāʻawi ola: ʻO ka placenta a me ke kaula umbilical, ka mea e hāʻawi ai i ka meaʻai i ka pēpē, aia ma loko o kēia ʻeke me ka palekana.
I ka ʻōlelo maʻalahi, ʻaʻohe ala e ulu palekana ai kahi pēpē i loko o ka ʻōpū me ka ʻole o kahi ʻeke amniotic. No laila, he mea nui loa ʻaʻole e haki kēia ʻeke a hiki i ka hānau ʻana, ʻo ia hoʻi ma kahi o 40 mau pule.
Pehea lā e hiki ai kēia mea 'haʻihaʻi wai'?
Aia kekahi mau kumu e haki ai kēia ʻeke i ka wā e hoʻokokoke mai ai ka hānau ʻana. He hana kūlohelohe kēia.
| Kumu | He maʻalahi nā mea ʻē aʻe a pau. |
|---|---|
| Nā hormones | Ke hoʻomaka ka hānau ʻana, hana kou kino i nā hormones i kapa ʻia ʻo prostaglandins. Hiki i kēia mau hormones ke hoʻonāwaliwali a haki nā membrane o kou wai. |
| Kaomi mai nā ʻūmiʻi | Hoʻopaʻa nā ʻiʻo o ka ʻōpū a laila hoʻomaha hou, kahi a mākou e kapa nei he 'dilation'. Ke hoʻomau nei kēia kaomi, nāwaliwali mālie ka ʻeke wai a hiki ke haki. |
| Ka neʻe ʻana o ka ʻōpū | I ke iho ʻana o ke poʻo o ka pēpē i loko o ka pelvis a neʻe mau ka pēpē, hiki i ke kaomi ke hoʻonāwaliwali i kēia ʻeke a haehae iā ia. |
| Hoʻonāwaliwali maoli ka ʻeke | I ka wā e kokoke mai ai ka pēpē i ka hānau ʻana, kū mai nā loli kūlohelohe i loko o nā pūnaewele o ka ʻeke. ʻO kēia ke kumu e nāwaliwali mālie ai ka ʻeke. |
Makemake mau nā kauka e noho paʻa kou wai a hiki i ka liʻiliʻi he 37 mau pule, no ka mea, ʻo ia ka manawa kūpono loa e hānau ʻia ai kahi pēpē olakino.
Āhea ka wā e haki ai ka wai?
ʻO ka maʻamau, haki ka wai i ka hoʻomaka ʻana o ka hānau ʻana a i ʻole i ka wā hānau. No kekahi poʻe, hana koke kēia, me ka ʻole o ka ʻōlelo aʻo.
Akā i kekahi manawa, pono ke kauka e uhaʻi i kēia ʻeke. Ua kapa ʻia kēia he amniotomy.Ua kapa ʻia kēia he haki artificial o nā membrane. Ma kēia, hoʻohana ke kauka i kahi mea hana liʻiliʻi e like me ka makau e hou pinepine i kēia ʻeke. Hana pinepine ʻia kēia e kōkua i ka wikiwiki o ka hānau ʻana o kahi mea e hānau mua ana.
He aha nā pilikia olakino e hoʻopilikia ai i ka ʻeke amniotic?
I kekahi manawa i ka wā hāpai, hiki ke loaʻa kekahi mau pilikia me ka ʻeke amniotic. E kamaʻilio paha kāu kauka iā ʻoe e pili ana i kēia.
| Inoa Kūlana (Huaʻōlelo Lapaʻau) | He aha ke ʻano o kēia? |
|---|---|
| ʻO ke kōrioamnionitis | ʻO kēia ka manawa e komo ai kahi germ i nā papa ʻelua o ka ʻeke amniotic (amnion a me chorion) a hoʻoulu i kahi maʻi. Hiki i kēia ke hoʻopilikia i ka pēpē a me ka makuahine. |
| Ka haki mua ʻana o nā membrane (PROM) | ʻO ke ʻano kēia, ua haki ka wai ma mua o ka hoʻomaka ʻana o ka hānau ʻana. Ke haki ka wai, ua nui ka pilikia o ka pēpē i ka loaʻa ʻana o nā germs. |
| ʻAmniocentesis | ʻAʻole kēia he lāʻau lapaʻau, akā he hoʻāʻo. He hoʻāʻo ia e ʻike ai inā he mau maʻi hoʻoilina ko ka pēpē. Maanei, hoʻohana ʻia kahi nila lahilahi loa e hou i ka ʻeke a loaʻa kahi liʻiliʻi o ka wai amniotic no ka hoʻāʻo ʻana. |
Pehea e mālama ʻia ai kēia mau kūlana?
ʻO ke ʻano o ka mālama ʻana no kēia maʻi e pili ana i ka lōʻihi o kou hāpai ʻana a inā ua hoʻomaka ʻoe i ka hānau ʻana. Hiki ke hāʻawi ʻia nā lāʻau antibiotic no kahi maʻi e like me chorioamnionitis.
Akā i nā hihia e like me PROM, ʻo ia ka wā e haki ai kou wai i ka wā mua, ʻoi aku ka palekana o ka hānau ʻana i ka pēpē. Eia nō naʻe, inā ʻaʻole i ulu piha nā māmā o kāu pēpē (ʻo ia hoʻi, ʻaʻole i hala ma mua o 37 mau pule), hiki i kāu kauka ke hāʻawi iā ʻoe i ka lāʻau lapaʻau e kōkua i ka ulu ʻana o nā māmā o kāu pēpē ma mua o kou hānau ʻana i ka pēpē.
ʻO kekahi mau nīnau a nā makuahine he nui
Hiki i ke pēpē ke ola inā haki ka ʻeke wai?
ʻAe, hiki nō. Akā, pili ia i ka wā e haki ai ka ʻeke. ʻO ka maʻamau, inā haki ka ʻeke ma hope o 37 mau pule o ka hāpai ʻana, ʻaʻole ia he pilikia. No ka mea, i kēlā manawa, ua ulu piha nā māmā o ka pēpē a hiki ke hanu iā lākou iho ma hope o ka hānau ʻana.
Eia nō naʻe, inā haki ka ʻeke ma mua o 37 mau pule, ua pilikia ka pēpē i nā pilikia e like me ka paʻakikī o ka hanu ʻana a me ka hiki ʻole ke kāohi i ka mahana o ke kino. No laila he mea nui e hoʻokomo koke i ka pēpē i ka haukapila a mālama iā ia ma lalo o ka nānā ʻana a nā kauka.
Hiki ke hānau ʻia ke keiki i loko o ka ʻeke wai?
ʻAe. He mea laha ʻole kēia. Ua kapa ʻia kēia he "en caul birth." ʻO kēia ka wā e hānau ʻia ai ke pēpē i loko o ka ʻeke wai me ka ʻole o ka haki ʻana. I kēlā manawa, me he mea lā aia ke pēpē i loko o kahi pōpō wai. Inā hana ʻia kēia, e hoʻohana ke kauka a i ʻole ka kahu hānai i nā lako lapaʻau e wāwahi pono i ka ʻeke a lawe i waho i ke pēpē.
He aha ka mea e hana ai i kēia ʻeke ma hope o ka hānau ʻana?
ʻO ka maʻamau, puka mai ka placenta i loko o 30 mau minuke o ka hānau ʻana o ka pēpē. Kāhea pū mākou i kēia ʻo "afterbirth." Puka mai ka ʻeke amniotic me ka placenta. Ma hope o kēlā, ke ʻole e pono e hoʻouna ʻia no ka hoʻāʻo kūikawā, hoʻolei ka haukapila iā ia ma ke ʻano he ʻōpala lapaʻau.
Leka Lawe-Home
- He ʻeke pale kupaianaha ka ʻeke amniotic e pale a hānai i ka pēpē i ka wā hāpai.
- ʻO ka "poha ʻana o kou wai" he hōʻailona nui ia e kokoke mai ana ka hānau ʻana. Hiki ke hana koke ʻia ma ke ʻano he nui o ka wai a i ʻole he kahe mālie o ka wai.
- Inā he kānalua iki paha kou ua haki kou wai, mai hoʻokaʻulua a e hoʻomaopopo koke aku i kāu kauka a i ʻole e hele i ka haukapila.
- ʻO ka mea maikaʻi loa no ka palekana o ka pēpē, ʻo ia ka mālama ʻana i ka ʻeke wai a hiki i ka liʻiliʻi he 37 mau pule.
- Aia kekahi mau pilikia me ka ʻeke amniotic, akā ua mākaukau kāu hui lapaʻau e mālama iā lākou āpau. No laila, mai makaʻu e kamaʻilio me lākou e pili ana i kekahi hopohopo.
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